Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Fabricio Guimaraes Goncalves, MD

Individual provider Diagnostic Radiology Physician · NPI 1114639242

Dr. Fabricio Guimaraes Goncalves, MD is a Diagnostic Radiology in Indianapolis, Indiana. Qualified in 1999, 27 years ago. Practices with Pediatric Radiology Associates, PC, an 11-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Indiana and Pennsylvania.

Years since qualifying
27
Licensed in
IN, PA
In the registry since
2022
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1701 N Senate Blvd
Indianapolis, IN 46202-1239
Phone: (317) 962-6793
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 200 Landover Rd, Bryn Mawr, PA 19010-2240 — (267) 872-0737

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X · Licence 01098281A (IN)
Neuroradiology Physician Taxonomy 2085N0700X · Licence MD478544 (PA)

Record details

NPI number1114639242
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedDecember 20, 2022
Last updated in NPPESJanuary 27, 2026
Certification dateJanuary 27, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyDIAGNOSTIC RADIOLOGY
Medical schoolOTHER
Graduated 1999 (27 years in practice)
Group practice Pediatric Radiology Associates, Pc — 11 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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